Related Experiment Video
Updated: Jun 21, 2025
06:04
Author Spotlight: Assessing the Cardiovascular Profile of Patients with Metabolic Syndrome
Published on: September 27, 2024
851
Association between Systolic Blood Pressure Variability and Incident Aortic Stenosis
Hyun-Jung Kim1, Ji-Eon Kim2, Jae-Seung Jung2
1Department of Preventive Medicine, College of Medicine, Korea University, Seoul 02841, Republic of Korea.
Journal of Clinical Medicine
|July 13, 2024
Summary
High blood pressure variability (BPV) and hypertension are linked to increased aortic stenosis (AS) risk. Managing blood pressure stability is crucial for preventing AS incidence.
Area of Science:
- Cardiovascular Medicine
- Hypertension Research
- Epidemiology
Background:
- Investigates the association between blood pressure variability (BPV) and incident aortic stenosis (AS).
- Utilizes large-scale Korean National Health Insurance Service data from 2002-2019.
Purpose of the Study:
- To determine if systolic blood pressure variability (SBPV) is an independent predictor of aortic stenosis (AS).
- To assess the risk of AS associated with different levels of SBPV.
Main Methods:
- Collected annual SBPV from three consecutive readings over three years for over 9 million individuals.
- Categorized SBPV into five quantiles, with the highest representing significant blood pressure fluctuations.
- Performed survival analysis to evaluate the association between SBPV quintiles and incident AS.
Main Results:
- Higher SBPV was independently associated with an increased risk of AS.
- The highest quintile of SBPV showed a significantly elevated hazard ratio (HR) of 1.39 (p < 0.001) for AS incidence.
- Hypertension and elevated SBPV were identified as independent predictors for AS.
Conclusions:
- Elevated systolic blood pressure variability (SBPV) is a significant risk factor for incident aortic stenosis (AS).
- Maintaining stable blood pressure, alongside managing hypertension, is vital for AS prevention.
- Highlights the clinical importance of monitoring BPV in cardiovascular risk assessment.
Related Concept Videos
01:17Measurement of Blood Pressure
907
Assessing blood pressure is a standard procedure executed in virtually all medical environments. The method utilized today was established over a hundred years ago by an innovative Russian doctor, Dr. Nikolai Korotkoff. The soft ticking noise, known as Korotkoff sounds, heard while taking blood pressure readings results from turbulent blood flow within the vessels. The apparatus required for this procedure includes a sphygmomanometer, a blood pressure cuff attached to a gauge, and a...
907
01:23Assessment of blood pressure in brachial artery(two-step method)
680
Measuring blood pressure is a fundamental skill in healthcare that aids in diagnosing and monitoring hypertension and other cardiovascular conditions. An aneroid sphygmomanometer, commonly used in clinical settings, offers a manual and precise method for blood pressure measurement. The technique for using this instrument involves specific steps that must be carefully executed to ensure accuracy. The following detailed description outlines a two-step technique for assessing blood pressure using...
680
01:28Special considerations while measuring blood pressure
712
When assessing blood pressure (BP), healthcare professionals must consider various factors and potential unexpected outcomes to ensure accurate readings and provide proper patient care. Adhering to these guidelines is essential to achieving the most reliable results.
Monitoring Both Arms:
Monitoring BP in both arms during the initial assessment is advisable, as the systolic value may differ by five to ten mm Hg between arms. For subsequent BP assessments, use the arm with the higher reading.
Monitoring Both Arms:
Monitoring BP in both arms during the initial assessment is advisable, as the systolic value may differ by five to ten mm Hg between arms. For subsequent BP assessments, use the arm with the higher reading.
712
01:21Sites for measruring blood pressure
1.6K
Blood pressure measurement is a fundamental clinical procedure, providing crucial data for assessing cardiovascular health. Among the various sites for this measurement, the brachial and popliteal arteries are predominantly utilized due to their accessibility and the reliability of their readings. This lesson delves into the anatomical significance, methodology, and considerations of measuring blood pressure at these locations.
The Brachial Artery: Primary Site for Blood Pressure Measurement
The Brachial Artery: Primary Site for Blood Pressure Measurement
1.6K
01:24Blood Pressure
3.0K
The movement of blood in a human body, commonly referred to as blood flow, is determined by the volume of blood that traverses a certain section of the bodily system per unit time. It is the rhythmic contraction of the heart's ventricles that primarily instigates this movement. As the ventricles contract, blood is forced into the prominent arteries, which then flow from areas of greater pressure to lower pressure areas. This movement continues into smaller arteries and arterioles and...
3.0K
01:15Assessment of blood pressure in brachial artery(one-step method)
573
This procedural guide systematically measures blood pressure using an oscillometric digital sphygmomanometer, emphasizing accuracy, patient safety, and comfort.
Prepare for the Procedure:
Prepare for the Procedure:
573